DR. MANISHA C SHAH (NPI# 1306154984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306154984 |
| Entity Type | Individual |
| Full Name | DR. MANISHA C SHAH |
| Other Name | MANISHA JASWANTLAL SHAH |
| Credential | M.D. |
| Practice Address |
2023 Vadalabene Dr Ste 200 Maryville IL 62062 |
| Mailing Address |
2023 Vadalabene Dr Ste 200 Maryville IL 62062-5636 |
| Practice Telephone | 6182887408 |
| Practice Fax Number | 6182887418 |
| Mailing Telephone | 6182887408 |
| Mailing Fax Number | 6182887418 |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2018-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036126507 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036126507 | 05 | |
| UNITED HEALTHCARE | 3221488 | 01 | |
| HEALTHLINK | A23115 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 734 Cambridge Blvd Ste 200, O Fallon, IL 622691964 | 6182887408 | 6182887418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659580223 | Manisha Shah | Physical Therapist | 470 Robins Ct, Yardley, PA 19067-4719 | 2007-05-21 |
| 1093361875 | Manisha Dharmesh Shah | Nurse Practitioner | 270 Main St N Ste 300, Stillwater, MN 55082-6788 | 2019-08-16 |
| 1740622596 | Manisha S Shah | Family Medicine | 15029 N Thompson Peak Pkwy, Suite B111-611, Scottsdale, AZ 85260-2217 | 2013-07-22 |
| 1346368529 | Manisha Pankaj Shah | Occupational Therapist | 6508 Gunn Highway, Independent Living Inc, Tampa, FL 33625-4022 | 2007-03-27 |
| 1215012000 | Manisha Jay Shah | Internal Medicine | 5323 Harry Hines Blvd., Dallas, TX 75235-9047 | 2006-10-27 |
| 1679581896 | Manisha H. Shah | Internal Medicine | 300 W 10th Ave, Columbus, OH 43210-1280 | 2006-08-03 |
| Street Address |
2023 VADALABENE DR STE 200 |
| City | MARYVILLE |
| State | IL |
| Zip Code | 62062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306825856 | Christina L Midkiff | Obstetrics & Gynecology | 2023 Vadalabene Dr, Ste 200, Maryville, IL 62062-5631 | 2006-01-12 |
| 1346783230 | Jenny M Daniels | Nurse Practitioner | 2023 Vadalabene Dr, Suite 200, Maryville, IL 62062-5630 | 2016-11-23 |
| 1366829608 | Sean M Miller | Physician Assistant | 2023 Vadalabene Dr, Suite 251, Maryville, IL 62062-5630 | 2015-05-06 |
| 1477957827 | Kristen R Kreher | Nurse Practitioner | 2023 Vadalabene Dr, Suite 251, Maryville, IL 62062-5630 | 2014-10-14 |
| 1134537632 | Deanna Moorman | Nurse Practitioner | 2023 Vadalabene Dr, Suite 200, Maryville, IL 62062-5630 | 2014-07-28 |
| 1235578410 | Kathryn Lindsay K Cobb | Nurse Practitioner | 2023 Vadalabene Dr, Maryville, IL 62062-5630 | 2013-06-20 |
| 1912293002 | Maryville Imaging, LLC | Clinic/Center | 2023 Vadalabene Dr, Suite 100, Maryville, IL 62062-5630 | 2011-06-27 |
| 1982902342 | Dr. David B. Yablonsky, D.o., P.C. | Family Medicine | 2023 Vadalabene Dr, Suite 251, Maryville, IL 62062-5630 | 2011-03-09 |
| 1073843967 | Jennifer D Wesselman-williams | Nurse Practitioner | 2023 Vadalabene Dr, Suite 200, Maryville, IL 62062-5630 | 2009-12-28 |
| 1619103819 | Brinley Orthodontics, LLC | Dentist | 2023 Vadalabene Dr, Maryville, IL 62062-5631 | 2009-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
| 1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
| 1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
| 1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
| 1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
| Find all providers in zip 62062 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760965982 | Women's Care Group Pllc | Obstetrics & Gynecology | 270 Bmh Physician Office Building, Physicians Office Building, Maryville, TN 37804-3780 | 2018-09-13 |
| 1255727301 | Bryson Whalen | Obstetrics & Gynecology | 6812 State Route 162 Ste 301, Maryville, IL 62062-8562 | 2015-04-15 |
| 1922307115 | Erin Michal Wright | Obstetrics & Gynecology | 6810 State Route 162 Ste 215, Maryville, IL 62062-8566 | 2011-03-28 |
| 1154481364 | Patrice Staten | Obstetrics & Gynecology | 6810 State Route 162 Suite 105, Maryville, IL 62062-8501 | 2006-12-11 |
| 1326057381 | Elizabeth D Lebrun | Obstetrics & Gynecology | 1033 E Lamar Alexander Pkwy, Maryville, TN 37804 | 2006-08-07 |
| 1033172481 | Gary Merlin Mason | Obstetrics & Gynecology | 1503 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 | 2006-04-07 |
| 1649232513 | Dale Bryant Elmore | Obstetrics & Gynecology | 417 E Lamar Alexander Pkwy, Maryville, TN 37804-5807 | 2006-04-05 |
| 1548238785 | John C Mcamis | Obstetrics & Gynecology | 1029 E Lamar Alexander Pkwy, Maryville, TN 37804-5134 | 2006-03-14 |
| 1306825856 | Christina L Midkiff | Obstetrics & Gynecology | 2023 Vadalabene Dr, Ste 200, Maryville, IL 62062-5631 | 2006-01-12 |
| 1356857171 | Maryville Womens Center PC | Obstetrics & Gynecology | 2016 Vadalabene Dr, Maryville, IL 62062-6901 | 2017-12-15 |
| Find all providers in MARYVILLE | ||||
Please comment or provide details below to improve the information on DR. MANISHA C SHAH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.